Doctor giving sick cert and a prescription over the phone?

Many doctors have their fees outlined in their waiting rooms, ie blood test, repeat prescriptions etc, I would think €55 is very expensive for a sick note.
 
I suspect he was giving me the prescription as a means of justifying the charge, even though I didnt ask for it, or want it, given my symptoms at the time.

Quite likely. I think the business schools call this "adding value"


However I asked the receptionist if the charge would still apply without the prescription, and was told yes.

Well she would, wouldn't she...

... if the general feeling is that I was shafted in comparison with what other GPs do, it will probably be the last time he gets my business.

Not a bad conclusion, and probably worth your €55 outlay to convince you to go elsewhere next time!